Mortality Among Very Low-Birthweight Infants in Hospitals Serving Minority Populations

We investigated whether the proportion of Black very low-birth-weight (VLBW) infants treated by hospitals is associated with neonatal mortality for Black and White VLBW infants. We analyzed medical records linked to secondary data sources for 74050 Black and White VLBW infants (501 g to 1500 g) trea...

Full description

Saved in:
Bibliographic Details
Published in:American journal of public health (1971) 2005-12, Vol.95 (12), p.2206-2212
Main Authors: Morales, Leo S, Staiger, Douglas, Horbar, Jeffrey D, Carpenter, Joseph, Kenny, Michael, Geppert, Jeffrey, Rogowski, Jeannette
Format: Article
Language:English
Subjects:
African Americans
Babies
Biological and medical sciences
Birth weight
Black people
Databases as Topic
Diseases of mother, fetus and pregnancy
European Continental Ancestry Group
Expenditures
Female
Gynecology. Andrology. Obstetrics
Hospitals
Humans
Inequality
Infant mortality
Infant Mortality - trends
Infant, Low Birth Weight
Infant, Newborn
Male
Medical sciences
Medicare
Minority & ethnic groups
Minority Groups
Miscellaneous
Multi-Institutional Systems
Multiple births
Patients
Pregnancy. Fetus. Placenta
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Racial differences
Regression Analysis
Research and Practice
Studies
Surgery
United States - epidemiology
White people
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c515t-5395692ed7a01dcccdb35d3fd7bd7978aeb1e775984c0f4bc47432198db04caf3
cites cdi_FETCH-LOGICAL-c515t-5395692ed7a01dcccdb35d3fd7bd7978aeb1e775984c0f4bc47432198db04caf3
container_end_page 2212
container_issue 12
container_start_page 2206
container_title American journal of public health (1971)
container_volume 95
creator Morales, Leo S
Staiger, Douglas
Horbar, Jeffrey D
Carpenter, Joseph
Kenny, Michael
Geppert, Jeffrey
Rogowski, Jeannette
description We investigated whether the proportion of Black very low-birth-weight (VLBW) infants treated by hospitals is associated with neonatal mortality for Black and White VLBW infants. We analyzed medical records linked to secondary data sources for 74050 Black and White VLBW infants (501 g to 1500 g) treated by 332 hospitals participating in the Vermont Oxford Network from 1995 to 2000. Hospitals where more than 35% of VLBW infants treated were Black were defined as "minority-serving." Compared with hospitals where less than 15% of the VLBW infants were Black, minority-serving hospitals had significantly higher risk-adjusted neonatal mortality rates (White infants: odds ratio [OR]=1.30, 95% confidence interval [CI] = 1.09, 1.56; Black infants: OR = 1.29, 95% CI = 1.01, 1.64; Pooled: OR = 1.28, 95% CI=1.10, 1.50). Higher neonatal mortality in minority-serving hospitals was not explained by either hospital or treatment variables. Minority-serving hospitals may provide lower quality of care to VLBW infants compared with other hospitals. Because VLBW Black infants are disproportionately treated by minority-serving hospitals, higher neonatal mortality rates at these hospitals may contribute to racial disparities in infant mortality in the United States.
doi_str_mv 10.2105/AJPH.2004.046730
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1449508</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>68829727</sourcerecordid><originalsourceid>FETCH-LOGICAL-c515t-5395692ed7a01dcccdb35d3fd7bd7978aeb1e775984c0f4bc47432198db04caf3</originalsourceid><addsrcrecordid>eNqFkc1v0zAchiMEYt3gzglFSCAuKf75I44vk8o06FAnJgG7Wo7jtK5SO9jJqv73OGrFgAsnW_bzvv54suwVoDkGxD4svtwt5xghOke05AQ9yWbAKBRppXqazRASKM1JeZadx7hFCEAweJ6dQUkQBUJm2f2tD4Pq7HDIFzvv1vm9CYd85ffFRxuGzd7Y9WbIb1yr3BBz6_Klj71NiZh_M-HBpsStdT5MBXe-Hzs1WO_ii-xZmxjz8jReZD8-XX-_Wharr59vrharQjNgQ8GIYKXApuEKQaO1bmrCGtI2vG644JUyNRjOmaioRi2tNeWUYBBVUyOqVUsusstjbz_WO9No44agOtkHu1PhIL2y8u8dZzdy7R8kUCoYqlLBu1NB8D9HEwe5s1GbrlPO-DHKsqqw4Jj_FwRBKl7SCXzzD7j1Y3DpFySGdCTjmCYIHSEdfIzBtL-vDEhOauWkVk5q5VFtirz-86mPgZPLBLw9ASpq1bVBOW3jI8cJEA7Tk98fuU1yu7fByLhTXZdqQaptvxFMApYYo5L8AubTuuw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>215085724</pqid></control><display><type>article</type><title>Mortality Among Very Low-Birthweight Infants in Hospitals Serving Minority Populations</title><source>ABI/INFORM global</source><source>American Public Health Association</source><source>Politics Collection</source><source>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</source><source>PAIS Index</source><source>BSC - Ebsco (Business Source Ultimate)</source><source>PubMed Central</source><creator>Morales, Leo S ; Staiger, Douglas ; Horbar, Jeffrey D ; Carpenter, Joseph ; Kenny, Michael ; Geppert, Jeffrey ; Rogowski, Jeannette</creator><creatorcontrib>Morales, Leo S ; Staiger, Douglas ; Horbar, Jeffrey D ; Carpenter, Joseph ; Kenny, Michael ; Geppert, Jeffrey ; Rogowski, Jeannette</creatorcontrib><description>We investigated whether the proportion of Black very low-birth-weight (VLBW) infants treated by hospitals is associated with neonatal mortality for Black and White VLBW infants. We analyzed medical records linked to secondary data sources for 74050 Black and White VLBW infants (501 g to 1500 g) treated by 332 hospitals participating in the Vermont Oxford Network from 1995 to 2000. Hospitals where more than 35% of VLBW infants treated were Black were defined as "minority-serving." Compared with hospitals where less than 15% of the VLBW infants were Black, minority-serving hospitals had significantly higher risk-adjusted neonatal mortality rates (White infants: odds ratio [OR]=1.30, 95% confidence interval [CI] = 1.09, 1.56; Black infants: OR = 1.29, 95% CI = 1.01, 1.64; Pooled: OR = 1.28, 95% CI=1.10, 1.50). Higher neonatal mortality in minority-serving hospitals was not explained by either hospital or treatment variables. Minority-serving hospitals may provide lower quality of care to VLBW infants compared with other hospitals. Because VLBW Black infants are disproportionately treated by minority-serving hospitals, higher neonatal mortality rates at these hospitals may contribute to racial disparities in infant mortality in the United States.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2004.046730</identifier><identifier>PMID: 16304133</identifier><identifier>CODEN: AJPEAG</identifier><language>eng</language><publisher>Washington, DC: Am Public Health Assoc</publisher><subject>African Americans ; Babies ; Biological and medical sciences ; Birth weight ; Black people ; Databases as Topic ; Diseases of mother, fetus and pregnancy ; European Continental Ancestry Group ; Expenditures ; Female ; Gynecology. Andrology. Obstetrics ; Hospitals ; Humans ; Inequality ; Infant mortality ; Infant Mortality - trends ; Infant, Low Birth Weight ; Infant, Newborn ; Male ; Medical sciences ; Medicare ; Minority &amp; ethnic groups ; Minority Groups ; Miscellaneous ; Multi-Institutional Systems ; Multiple births ; Patients ; Pregnancy. Fetus. Placenta ; Public health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Racial differences ; Regression Analysis ; Research and Practice ; Studies ; Surgery ; United States - epidemiology ; White people</subject><ispartof>American journal of public health (1971), 2005-12, Vol.95 (12), p.2206-2212</ispartof><rights>2006 INIST-CNRS</rights><rights>Copyright American Public Health Association Dec 2005</rights><rights>American Journal of Public Health 2005 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c515t-5395692ed7a01dcccdb35d3fd7bd7978aeb1e775984c0f4bc47432198db04caf3</citedby><cites>FETCH-LOGICAL-c515t-5395692ed7a01dcccdb35d3fd7bd7978aeb1e775984c0f4bc47432198db04caf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/215085724/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/215085724?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,3981,11667,21366,21373,27843,27901,27902,33588,33589,33962,33963,36037,36038,43709,43924,44339,53766,53768,73964,74211,74638</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=17313718$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16304133$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morales, Leo S</creatorcontrib><creatorcontrib>Staiger, Douglas</creatorcontrib><creatorcontrib>Horbar, Jeffrey D</creatorcontrib><creatorcontrib>Carpenter, Joseph</creatorcontrib><creatorcontrib>Kenny, Michael</creatorcontrib><creatorcontrib>Geppert, Jeffrey</creatorcontrib><creatorcontrib>Rogowski, Jeannette</creatorcontrib><title>Mortality Among Very Low-Birthweight Infants in Hospitals Serving Minority Populations</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>We investigated whether the proportion of Black very low-birth-weight (VLBW) infants treated by hospitals is associated with neonatal mortality for Black and White VLBW infants. We analyzed medical records linked to secondary data sources for 74050 Black and White VLBW infants (501 g to 1500 g) treated by 332 hospitals participating in the Vermont Oxford Network from 1995 to 2000. Hospitals where more than 35% of VLBW infants treated were Black were defined as "minority-serving." Compared with hospitals where less than 15% of the VLBW infants were Black, minority-serving hospitals had significantly higher risk-adjusted neonatal mortality rates (White infants: odds ratio [OR]=1.30, 95% confidence interval [CI] = 1.09, 1.56; Black infants: OR = 1.29, 95% CI = 1.01, 1.64; Pooled: OR = 1.28, 95% CI=1.10, 1.50). Higher neonatal mortality in minority-serving hospitals was not explained by either hospital or treatment variables. Minority-serving hospitals may provide lower quality of care to VLBW infants compared with other hospitals. Because VLBW Black infants are disproportionately treated by minority-serving hospitals, higher neonatal mortality rates at these hospitals may contribute to racial disparities in infant mortality in the United States.</description><subject>African Americans</subject><subject>Babies</subject><subject>Biological and medical sciences</subject><subject>Birth weight</subject><subject>Black people</subject><subject>Databases as Topic</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>European Continental Ancestry Group</subject><subject>Expenditures</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Inequality</subject><subject>Infant mortality</subject><subject>Infant Mortality - trends</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicare</subject><subject>Minority &amp; ethnic groups</subject><subject>Minority Groups</subject><subject>Miscellaneous</subject><subject>Multi-Institutional Systems</subject><subject>Multiple births</subject><subject>Patients</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Public health</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Racial differences</subject><subject>Regression Analysis</subject><subject>Research and Practice</subject><subject>Studies</subject><subject>Surgery</subject><subject>United States - epidemiology</subject><subject>White people</subject><issn>0090-0036</issn><issn>1541-0048</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>7TQ</sourceid><sourceid>ALSLI</sourceid><sourceid>DPSOV</sourceid><sourceid>M0C</sourceid><sourceid>M2L</sourceid><sourceid>M2R</sourceid><recordid>eNqFkc1v0zAchiMEYt3gzglFSCAuKf75I44vk8o06FAnJgG7Wo7jtK5SO9jJqv73OGrFgAsnW_bzvv54suwVoDkGxD4svtwt5xghOke05AQ9yWbAKBRppXqazRASKM1JeZadx7hFCEAweJ6dQUkQBUJm2f2tD4Pq7HDIFzvv1vm9CYd85ffFRxuGzd7Y9WbIb1yr3BBz6_Klj71NiZh_M-HBpsStdT5MBXe-Hzs1WO_ii-xZmxjz8jReZD8-XX-_Wharr59vrharQjNgQ8GIYKXApuEKQaO1bmrCGtI2vG644JUyNRjOmaioRi2tNeWUYBBVUyOqVUsusstjbz_WO9No44agOtkHu1PhIL2y8u8dZzdy7R8kUCoYqlLBu1NB8D9HEwe5s1GbrlPO-DHKsqqw4Jj_FwRBKl7SCXzzD7j1Y3DpFySGdCTjmCYIHSEdfIzBtL-vDEhOauWkVk5q5VFtirz-86mPgZPLBLw9ASpq1bVBOW3jI8cJEA7Tk98fuU1yu7fByLhTXZdqQaptvxFMApYYo5L8AubTuuw</recordid><startdate>20051201</startdate><enddate>20051201</enddate><creator>Morales, Leo S</creator><creator>Staiger, Douglas</creator><creator>Horbar, Jeffrey D</creator><creator>Carpenter, Joseph</creator><creator>Kenny, Michael</creator><creator>Geppert, Jeffrey</creator><creator>Rogowski, Jeannette</creator><general>Am Public Health Assoc</general><general>American Public Health Association</general><general>American Journal of Public Health 2005</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>7RV</scope><scope>7TQ</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88A</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>88J</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DHY</scope><scope>DON</scope><scope>DPSOV</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K60</scope><scope>K6~</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>KC-</scope><scope>L.-</scope><scope>L.0</scope><scope>LK8</scope><scope>M0C</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2L</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>S0X</scope><scope>7ST</scope><scope>7U6</scope><scope>C1K</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20051201</creationdate><title>Mortality Among Very Low-Birthweight Infants in Hospitals Serving Minority Populations</title><author>Morales, Leo S ; Staiger, Douglas ; Horbar, Jeffrey D ; Carpenter, Joseph ; Kenny, Michael ; Geppert, Jeffrey ; Rogowski, Jeannette</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c515t-5395692ed7a01dcccdb35d3fd7bd7978aeb1e775984c0f4bc47432198db04caf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>African Americans</topic><topic>Babies</topic><topic>Biological and medical sciences</topic><topic>Birth weight</topic><topic>Black people</topic><topic>Databases as Topic</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>European Continental Ancestry Group</topic><topic>Expenditures</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Inequality</topic><topic>Infant mortality</topic><topic>Infant Mortality - trends</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicare</topic><topic>Minority &amp; ethnic groups</topic><topic>Minority Groups</topic><topic>Miscellaneous</topic><topic>Multi-Institutional Systems</topic><topic>Multiple births</topic><topic>Patients</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Public health</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Racial differences</topic><topic>Regression Analysis</topic><topic>Research and Practice</topic><topic>Studies</topic><topic>Surgery</topic><topic>United States - epidemiology</topic><topic>White people</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morales, Leo S</creatorcontrib><creatorcontrib>Staiger, Douglas</creatorcontrib><creatorcontrib>Horbar, Jeffrey D</creatorcontrib><creatorcontrib>Carpenter, Joseph</creatorcontrib><creatorcontrib>Kenny, Michael</creatorcontrib><creatorcontrib>Geppert, Jeffrey</creatorcontrib><creatorcontrib>Rogowski, Jeannette</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>Global News &amp; ABI/Inform Professional</collection><collection>Trade PRO</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing &amp; Allied Health Database</collection><collection>PAIS Index</collection><collection>ABI/INFORM Collection (ProQuest)</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>ProQuest Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection</collection><collection>Biology Database (Alumni Edition)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Agriculture &amp; Environmental Science Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>Politics Collection</collection><collection>ProQuest Central</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>Consumer Health Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ProQuest Politics Collection</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Professional Standard</collection><collection>Biological Sciences</collection><collection>ABI/INFORM global</collection><collection>ProQuest Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>ProQuest Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Political Science Database (Proquest)</collection><collection>Psychology Database (ProQuest)</collection><collection>ProQuest Research Library</collection><collection>ProQuest Science Journals</collection><collection>Social Science Database (ProQuest)</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>One Business (ProQuest)</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>Environmental Science Collection</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>Environment Abstracts</collection><collection>Sustainability Science Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of public health (1971)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morales, Leo S</au><au>Staiger, Douglas</au><au>Horbar, Jeffrey D</au><au>Carpenter, Joseph</au><au>Kenny, Michael</au><au>Geppert, Jeffrey</au><au>Rogowski, Jeannette</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mortality Among Very Low-Birthweight Infants in Hospitals Serving Minority Populations</atitle><jtitle>American journal of public health (1971)</jtitle><addtitle>Am J Public Health</addtitle><date>2005-12-01</date><risdate>2005</risdate><volume>95</volume><issue>12</issue><spage>2206</spage><epage>2212</epage><pages>2206-2212</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><coden>AJPEAG</coden><abstract>We investigated whether the proportion of Black very low-birth-weight (VLBW) infants treated by hospitals is associated with neonatal mortality for Black and White VLBW infants. We analyzed medical records linked to secondary data sources for 74050 Black and White VLBW infants (501 g to 1500 g) treated by 332 hospitals participating in the Vermont Oxford Network from 1995 to 2000. Hospitals where more than 35% of VLBW infants treated were Black were defined as "minority-serving." Compared with hospitals where less than 15% of the VLBW infants were Black, minority-serving hospitals had significantly higher risk-adjusted neonatal mortality rates (White infants: odds ratio [OR]=1.30, 95% confidence interval [CI] = 1.09, 1.56; Black infants: OR = 1.29, 95% CI = 1.01, 1.64; Pooled: OR = 1.28, 95% CI=1.10, 1.50). Higher neonatal mortality in minority-serving hospitals was not explained by either hospital or treatment variables. Minority-serving hospitals may provide lower quality of care to VLBW infants compared with other hospitals. Because VLBW Black infants are disproportionately treated by minority-serving hospitals, higher neonatal mortality rates at these hospitals may contribute to racial disparities in infant mortality in the United States.</abstract><cop>Washington, DC</cop><pub>Am Public Health Assoc</pub><pmid>16304133</pmid><doi>10.2105/AJPH.2004.046730</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0090-0036
ispartof American journal of public health (1971), 2005-12, Vol.95 (12), p.2206-2212
issn 0090-0036
1541-0048
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1449508
source ABI/INFORM global; American Public Health Association; Politics Collection; Social Science Premium Collection (Proquest) (PQ_SDU_P3); PAIS Index; BSC - Ebsco (Business Source Ultimate); PubMed Central
subjects African Americans
Babies
Biological and medical sciences
Birth weight
Black people
Databases as Topic
Diseases of mother, fetus and pregnancy
European Continental Ancestry Group
Expenditures
Female
Gynecology. Andrology. Obstetrics
Hospitals
Humans
Inequality
Infant mortality
Infant Mortality - trends
Infant, Low Birth Weight
Infant, Newborn
Male
Medical sciences
Medicare
Minority & ethnic groups
Minority Groups
Miscellaneous
Multi-Institutional Systems
Multiple births
Patients
Pregnancy. Fetus. Placenta
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Racial differences
Regression Analysis
Research and Practice
Studies
Surgery
United States - epidemiology
White people
title Mortality Among Very Low-Birthweight Infants in Hospitals Serving Minority Populations
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-29T03%3A26%3A52IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Mortality%20Among%20Very%20Low-Birthweight%20Infants%20in%20Hospitals%20Serving%20Minority%20Populations&rft.jtitle=American%20journal%20of%20public%20health%20(1971)&rft.au=Morales,%20Leo%20S&rft.date=2005-12-01&rft.volume=95&rft.issue=12&rft.spage=2206&rft.epage=2212&rft.pages=2206-2212&rft.issn=0090-0036&rft.eissn=1541-0048&rft.coden=AJPEAG&rft_id=info:doi/10.2105/AJPH.2004.046730&rft_dat=%3Cproquest_pubme%3E68829727%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c515t-5395692ed7a01dcccdb35d3fd7bd7978aeb1e775984c0f4bc47432198db04caf3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=215085724&rft_id=info:pmid/16304133&rfr_iscdi=true